Chapter 3: Environmental Sanitation and Terminal Cleaning Flashcards
Alcohol should be used for cleaning and disinfection of large blood spills.
A. True
B. False
B. False
Which of the following disinfectants is required for general disinfection of non-critical items? A. High-level disinfectant B. Low-level disinfectant C. Intermediate-level disinfectant D. Sanitizer
B. Low-level disinfectant
Terminal cleaning is typically the responsibility of the Environmental Services Team.
A. True
B. False
A. True
Dust is not known to contain human skin and hair, pollens, and mold.
A. True
B. False
B. False
Infections can potentially be acquired from which of the following sources? A. Contaminated environmental surfaces B. Contaminated hands C. Contaminated skin D. All of the above
D. All of the above
Contaminated hands, skin, and environmental surfaces.
Federal law requires that all sharps be placed in biohazard containers prior to disposal.
A. True
B. False
A. True
Which of the following basic components of personal protective equipment should be worn by the perioperative nurse when likely contacting potentially infectious material? A. Gloves B. Gown, mask, and eye shields C. N-95 respirator D. All of the above
D. All of the above.
Gloves, gown, mask, eye shields, and N-95 respirator.
Which federal agency regulates the Blood borne Pathogens Standard? A. AORN B. CDC C. HHS D. OSHA
D. OSHA
Which of the following are typical microorganisms found in the perioperative setting? A. ESBL-producing organisms B. Serratia C. Staphylococcus D. All of the above
D. All of the above
ESBL-producing organisms, Serratia, and Staphylococcus
Clostridium difficile is primarily transmitted via which of the following routes? A. Respiratory/inhalation B. IV Injection C. Fecal-oral D. None of the above
C. Fecal-Oral
Which of the following pathogens requires special attention for disinfection of surfaces contaminated with brain, eye, or spinal cord tissue? A. CJD B. Clostridium difficile C. MRSA D. VRE
A. CJD
Which of the following microorganisms are found routinely in water pipes in ceilings or during wall demolitions? A. MRSA B. VRE C. Aspergillus D. None of the Above
C. Aspergillus
Floors should be mopped or wet-vacuumed with an EPA registered disinfectant after all scheduled cases are completed.
A. True
B. False
A. True
Liquid waste can be disposed in which of the following manners?
A. Adding a solidifying powder to the liquid
B. Using a medical liquid waste disposal
C. Pouring the liquid down a sanitary sewer
D. All of the above
D. All of the above
Adding a solidifying powder to the liquid, using a medical liquid waste disposal and Pouring the liquid down a sanitary sewer
Disinfectants used in health care facilities do not require EPA registration.
A. True
B. False
B. False
Damp-dusting should be performed using EPA registered disinfectant.
A. True
B. False
A. True
Ice machines are known vectors of infection transmission when not properly maintained and cleaned.
A. True
B. False
A. True
Why are microfiber mops a great option for mopping floors in the OR?
They can withstand up to 300 launderings. The microfiber particles are positively charged and draw negatively charged particles (dirt), they weigh only 2 lb and may reduce personnel injuries
Why should you NOT use vinyl exam gloves in environmental cleaning and disinfection?
Vinyl glove barrier protection failure rates can be very high
What is the purpose of end of procedure cleaning?
To break the cycle of contamination from the patient to the environment and from the environment to OR personnel and then to subsequent patients
When damp dusting the OR, why should the cloth be damp?
What liquid should you use to dampen the cloth and why?
It reduces viable microbial contamination from the air and other sources
Use an EPA registered hospital detergent/disinfectant
Is it necessary to mop the entire OR floor between procedures? Why or why not?
Yes, they should be cleaned and disinfected after each surgical/invasive procedure if soiled or potentially soiled. Bed should be moved to check for any items hidden under the bed (sponges, sutures, soiled area). The floor is contaminated at all times.
